Individual provider Active NPI

Janessa Gorena Rodriguez, LPC

  • Professional Counselor
  • Edinburg, TX
National Provider Identifier
1922709740
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
78817 Issued in TX
Practice address
2821 Michaelangelo Dr Ste 204
Edinburg, TX 78539-1423
Phone
(956) 362-8290
Fax
(956) 362-8295
NPI assigned
Mar 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 78817 TX Primary

Addresses

Primary practice location

2821 Michaelangelo Dr Ste 204
Edinburg, TX 78539-1423

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-8290

Other practice location 1

2821 Michaelangelo Dr Ste 200
Edinburg, TX 78539-1406
Phone (956) 362-8289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222003018 TX Practitioner - Mental Health Counselor 1850735366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Practice addresses (Care Compare)

2821 W Michaelangelo Dr
Suite 204
Edinburg, TX 78539-1423
Phone (956) 362-8290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Medical Foundation Professional CurrentSince Jan 13, 2024 Accepting new patients
Doctors Hospital at Renaissance, LTD PastSince Apr 30, 2023 Accepting new patients

Locations

2821 W Michaelangelo Dr
Ste 204
Edinburg, TX 78539
Phone (956) 362-2740

2821 W Michaelangelo Dr
Ste 200
Edinburg, TX 78539
Phone (956) 362-8215

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1922709740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "956-362-8290",
            "fax_number": "956-362-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 MICHAELANGELO DR STE 204",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391423",
            "telephone_number": "956-362-8290",
            "fax_number": "956-362-8295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2821 Michaelangelo Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785391406",
            "country_code": "US",
            "telephone_number": "956-362-8289",
            "fax_number": "956-362-8295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JANESSA",
        "middle_name": "GORENA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.